LabPhon 14

Tokyo, July 25-27, 2014

Registration Form

Please fill in the form in English.
! = required

Name and Affiliation

! Title

Prof. Dr. Mr. Ms.

! Name

! Affiliation (department, institute)

Contact Information

! Country

! Address

! E-mail

! Phone

Fax

! Dietary category

vegetarian non-vegetarian

! Member Status

LabPhon Member Non-Member Student LabPhon Member Student Non-Member

Fees and Payment

Registration fees cover admission to the conference, conference kit, conference dinner, and coffee breaks. The fees for non-members also include a one-year membership fee for Laboratory Phonology (US$80 for students and US$125 for non-students), which, in turn, includes a subscription to the journal.

Participants who register in advance (either early or late) will also receive lunch each day of the conference. Unfortunately, lunches cannot be provided for participants who register on-site, since the lunches must be ordered several days in advance.

LabPhon members must have completed the payment of their annual membership fee for 2014 directly to the Association if they wish to register as members.

Cancellation policy: The Japanese financial system makes refunds very costly. For written cancellations received before July 15, 2014, we will refund the conference fee less JP¥5,000 (about US$50) handling charges. After July 15 no refund is possible.

Registration as	Early registration (before June 1, 2014)	Late registration (before July 15, 2014)	On-site registration (cash payment only)
LabPhon Member	JP¥6,500 (about US$65)	JP¥6,500	JP¥9,000
Non-Member	JP¥19,000 (about US$190)	JP¥22,000	JP¥27,000
Student LabPhon Member	JP¥1,500 (about US$15)	JP¥1,500	JP¥3,000
Student Non-Member	JP¥9,500 (about US$95)	JP¥12,000	JP¥15,000

Total Payment

! Method of Payment (credit card only)

VISA Master card

! Card Number

! Security Code

! Expiration Date

! Card Holder's Name